Representing Patient Industry and Occupation

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extend limitations

Add the following text to the limitations:

 

- Use of CDC Census Coding System requires registration (and request approval by CDC).

 

 

 

 

comments:

See their website after registering Thank you for requesting a user account for the NIOSH Industry and Occupation Computerized Coding System (NIOCCS). You will receive notification once your request has been processed.

 

Page updated

Thank you for this comment. The limitations field has been updated as requested. 

correction to previous comment

Based on further investigation, I would like to replace my previous comment with a 2 corrected comments:


- Occupation and Industry coding terms can be downloaded from Public Health Information Network Vocabulary Access and Distribution System.

- National Institute for Occupational Safety and Health (NIOSH) provides a web based system called NIOSH Industry & Occupation Computerized Coding System (NIOCCS) (use of this web based system requires registration and request approval by CDC)

Consider IHE profiles for…

Consider IHE profiles for CDA templates for recording of Patient Industry and Occupation.

We concur with the listing…

We concur with the listing of the CDC codes here, but believe it is also worth mentioning the Observation / Observation value paradigm here as well. LOINC has several codes that are used as the observation identifier for patient industry/occupation variables. These LOINC codes are used in the American College of Surgeons National Trauma Data Standards dictionary. In addition, the CDC/NIOSH have balloted a OCCUPATIONAL DATA FOR HEALTH section inside the standard: HL7 CDA R2 IG: Consolidated CDA Templates for Clinical Note (US -Realm), Vol. 3: Additional Templates. In this model, the variables are identified by LOINC codes and the observation values are drawn from other coding systems such as the CDC’s census codes. Last, both PhenX and NHANES have questions about occupation and industry that are represented in LOINC.

Industry and Occupation require relationship linkage

Industry and Occupation require relationship linkage.  When speaking with a patient they can easily answer occupation but tying that accurately to an industry is difficult, a smaller list based on relationships would make documentation easier.  The same difficulty is experienced by the provider trying to document both against a specific coded pick list. 

Might be split into standard…

Might be split into standard for the observation which LOINC would serve and standard for the observation value which the CDC codes would serve. Agree that in the case that a specific field is dedicated to occupation history that the CDC Census 2010 is correct.